An American Sleep Disorders Association Review The Role of Actigraphy in the Evaluation of Sleep Disorders
An American Sleep Disorders Association Review The Role of Actigraphy in the Evaluation of Sleep Disorders
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总结：这篇论文已经过美国睡眠障碍协会董事会的审查和批准，为北美睡眠医学实践标准委员会的参数提供了背景。在睡眠医学和睡眠研究中越来越多地使用基于活动的监测（活动记录），丰富和挑战了传统的睡眠监测技术。这篇综述总结了体动记录仪在评估睡眠-觉醒模式和评估从婴儿到老年人的临床和对照组的有效性的经验数据。还包括睡眠相关活动记录研究的概述。活动记录仪提供了有用的睡眠-觉醒时间表和睡眠质量的测量。这些数据还表明，尽管腕动计有其局限性，但它可能是一种有用的、具有成本效益的方法，用于评估特定的睡眠障碍，如失眠和日程安排障碍，并用于监测其治疗过程。在临床研究和实践中，尚未系统地解决方法学问题，如正确使用体动记录仪和可能的伪影。
Summary: This paper, which has been reviewed and approved by the Board of Directors of the American Sleep Disorders Association, provides the background for the Standards of Practice Committee's parameters for the practice of sleep medicine in North America. The growing use of activity-based monitoring (actigraphy) in sleep medicine and sleep research has enriched and challenged traditional sleep-monitoring techniques. This review summarizes the empirical data on the validity of actigraphy in assessing sleep-wake patterns and assessing clinical and control groups ranging in age from infancy to elderly. An overview of sleep-related actigraphic studies is also included. Actigraphy provides useful measures of sleep-wake schedule and sleep quality. The data also suggest that actigraphy, despite its limitations, may be a useful, cost-effective method for assessing specific sleep disorders, such as insomnia and schedule disorders, and for monitoring their treatment process. Methodological issues such as the proper use of actigraphy and possible artifacts have not been systematically addressed in clinical research and practice.